Management of cervical cerclage after preterm premature rupture of membranes.

Journal Article (Journal Article;Review)

The optimal management of preterm premature rupture of membranes (PPROM) in a patient with a cerclage is controversial. The issues are whether the latency period between rupture of membranes and delivery is decreased if the cerclage is removed and whether there is an increased rate of maternal or neonatal infection if the cerclage is kept in place. The data are sparse in directing management of women with prophylactic cerclages placed earlier in their pregnancies who rupture membranes. Latency seems to be increased if the cerclage is kept in place, but maternal and neonatal infectious morbidity is increased also. In women at early gestational ages, keeping the cerclage in place may be warranted until labor ensues. In more advanced gestations, it seems preferable to immediately remove the cerclage upon diagnosis of PPROM.

Full Text

Duke Authors

Cited Authors

  • O'Connor, S; Kuller, JA; McMahon, MJ

Published Date

  • June 1999

Published In

Volume / Issue

  • 54 / 6

Start / End Page

  • 391 - 394

PubMed ID

  • 10358851

International Standard Serial Number (ISSN)

  • 0029-7828

Digital Object Identifier (DOI)

  • 10.1097/00006254-199906000-00022


  • eng

Conference Location

  • United States